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i " , <br /> . � "— . .. _. _ _ ._.'___—"'_._ �_____ ____ "" —___""."_ ' ' _ " "".•'_� "' <br /> � everett APPLICATION FOR RIGHT•OF'•WAY USE PERMIT <br /> �;� ZOOOa • <br /> CITY ENGINEERS <br /> EVERETT, bVASHINGTON PERMITNO. � '' -/// <br /> The Undersf9ned � � M o �J7_E�j��,��s',) � � <br /> Heroby applies for pertnission to_L/J ti/S'T,P � � T � 'y 3 ' /�n n/�,7�,� f / <br /> , �" ` <br /> Atthefollowingloeatioo Z7� `�� : I'izt//G� /3L /d � - <br /> SKETCH <br /> (Work ta be done) ,,., ��, — <br /> SL' ie. /�� 'J f�.Lrry� - <br /> ,(� 1 ,y / c <br /> /VO �� � �.{f K.�l Cit l�i• / Sy owi �/� • <br /> , ' <br /> � ` �/�N P� /O G'cZ / �Oh . <br /> �----__. __...:... .. ... .. _... <br /> i <br /> � URIVEWAY SECTION � The undersigned owner hereby agrees to hold and <br /> � NO SCALE save harmless the City of Everett from any and all tf <br /> � � ciaims tor damages that may arise because of installa- I <br /> . ���� ��P �� � tion and maintenance of the improvement hereto <br /> �30"�_ , _____ _ I jp•� � applied for and further agrees ro remove sam�_upo�r � <br /> '���—"� notice from the City and ro replace public property � <br /> . dama d'th'e eby. <br /> . � - :•%'7�G1. 7'r'i:.2s <br /> Signature of Applicant '"'—"-- � <br /> /c, •�ZC. � ic . .�, 1 "'_'� /�<Et:��-....ii <br /> COPY OF THIS APPLICATION TO Address � � - ' � <br /> BE POSTED ON JOBSITE. �;�_ �.-j� � <br /> CALL ENGINEERING [:EPT.2598871 Telephone Numher -- <br /> 24 HOURS DEFORE CONSTRUCTIQN ��� � � - �� <br /> Date - <br /> CHECK LIST Fee <br /> Watnr Valve <br /> Orainaqe Dept. AppfOVals ` <br /> Curb & Gu;tr.r Engineer <br /> Sidawaik <br /> Water�����,. . , i/` i <br /> Street <br /> Inspeetar's Si9nahire Communications <br /> Traftic <br /> Pla ing <br /> Date ,�—_ <br /> Hcma�ks <br /> —.'- - ' <br /> N.im: Uriymal to Cusromer i <br /> 1 Copy to Fde 1 O 8 O O <br /> 1 4opy to Insprctor . , ApproveJ 6y <br />